Chiropractic
Back Clinic Chiropractic. Iyi imhando yeimwe nzira yekurapa inotarisa kuongororwa uye kurapwa kweakasiyana-siyana musculoskeletal kukuvara uye mamiriro, kunyanya ayo akabatana nemusana. Dr. Alex Jimenez anokurukura kuti kugadziriswa kwemusana uye kushandiswa kwebhuku nguva dzose kunogona kubatsira zvikuru zvose kuvandudza uye kubvisa zviratidzo zvakawanda zvinogona kukonzera kusagadzikana kumunhu. Chiropractors vanotenda pakati pezvikonzero zvikuru zvekurwadziwa uye zvirwere ndeyekukanganisa kwe vertebrae mumutsara wepinini (izvi zvinozivikanwa sechiropractic subluxation).
Kuburikidza nekushandiswa kwekuongorora kwemanyore (kana palpation), kunyatsoiswa kumanikidza, kukwiza, uye manyorero ekugadzirisa vertebrae uye majoini (anonzi magadzirirwo), chiropractors inogona kuderedza kumanikidzwa uye kutsamwa patsinga, kudzorera majoini kufamba, uye kubatsira kudzorera muviri homeostasis. . Kubva ku subluxations, kana spinal misalignments, kusvika kune sciatica, seti yezviratidzo pamwe chete nesciatic nerve inokonzerwa netsinga impingement, chiropractic kuchengetedza inogona kudzorera zvishoma nezvishoma chimiro chemunhu. Dr. Jimenez anounganidza boka remafungiro pamusoro pechiropractic kuti anyatso kudzidzisa vanhu pane zvakasiyana-siyana zvekukuvadzwa uye mamiriro ezvinhu anobata muviri wemunhu.
by Dr Alex Jimenez Hip Pain & Dambudziko , Neuropathy
Kune vanhu vari kunzwa kurwadziwa kwepelvic, inogona kunge iri kusagadzikana kwepudendal nerve inozivikanwa se pudendal neuropathy kana neuralgia inotungamirira kumarwadzo asingagumi. Mamiriro acho anogona kukonzerwa nepudendal nerve entrapment, uko nerve inomanikidzwa kana kukuvadzwa. Kuziva zviratidzo kungabatsira here varapi vehutano kunyatsoongorora mamiriro acho uye kugadzira chirongwa chekurapa chinoshanda?
Pudendal Neuropathy
Iyo pudendal nerve ndiyo tsinga huru inoshandira perineum, iyo inzvimbo iri pakati pe anus ne genitalia - scrotum muvarume uye vulva muvakadzi. Iyo pudendal nerve inomhanya nepakati pe gluteus tsandanyama / matako uye ichipinda mu perineum. Inotakura ruzivo rwekunzwa kubva kune ekunze genitalia uye ganda rakatenderedza anus uye perineum uye inotumira mota / mafambiro masaini kune akasiyana mhasuru dzepelvic. (Origoni, M. et al., 2014 ) Pudendal neuralgia, inonziwo pudendal neuropathy, chirwere chepudendal nerve chinogona kutungamirira kumarwadzo asingagumi epelvic.
Zvinokonzera
Kurwara kwepelvic kusingagumi kubva pudendal neuropathy kunogona kukonzerwa nechero ipi inotevera (Kaur J. et al., 2024 )
Kunyanya kugara panzvimbo dzakaoma, zvigaro, zvigaro zvebhasikoro, nezvimwewo. Vatyairi vemabhasikoro vanowanzoita pudendal nerve entrapment.
Trauma kumagaro kana pelvis.
Kuberekwa.
Diabetes neuropathy.
Maumbirwo emapfupa anosundidzira tsinga dzepudendal.
Kukobvura kwemarunda akapoteredza pudendal nerve.
zviratidzo
Pudendal nerve pain inogona kurondedzerwa sekubaya, kupwanya, kupisa, kusanzwa, kana mapini netsono uye inogona kupa (Kaur J. et al., 2024 )
Mu perineum.
Munzvimbo yekumashure.
Muvarume, kurwadziwa muscrotum kana peni.
Muvakadzi, kurwadziwa mu labia kana vulva.
Panguva yebonde.
Pakuita weti.
Panguva yekufamba ura.
Pakugara nekuenda mushure mekusimuka.
Nemhaka yokuti zviratidzo zvinowanzooma kusiyanisa, pudendal neuropathy inogona kuoma kusiyanisa kubva kune mamwe marudzi ekurwadziwa kwepelvic kusingaperi.
Cyclist's Syndrome
Kugara kwenguva refu pachigaro chebhasikoro kunogona kukonzera pelvic nerve compression, izvo zvinogona kutungamirira kumarwadzo asingagumi epelvic. Kuwanda kwepudendal neuropathy (kurwadza kwepelvic kusingaperi kunokonzerwa nekupinda kana kumanikidzika kwepudendal nerve) inowanzonzi Cyclist's Syndrome. Kugara pane zvimwe zvigaro zvebhasikoro kwenguva refu kunoisa dzvinyiriro huru pane pudendal nerve. Kudzvinyirira kunogona kukonzera kuzvimba kwakatenderedza tsinga, izvo zvinokonzeresa marwadzo uye, nekufamba kwenguva, zvinogona kutungamirira kune nerve trauma. Kudzvinyirirwa kwetsinga uye kuzvimba kunogona kukonzera marwadzo anotsanangurwa sekupisa, kuruma, kana mapini netsono. (Durante, JA, uye Macintyre, IG 2010 ) Kune vanhu vane pudendal neuropathy inokonzerwa nekuchovha bhasikoro, zviratidzo zvinogona kuoneka mushure mekuchovha bhasikoro kwenguva refu uye dzimwe nguva mwedzi kana makore gare gare.
Cyclist's Syndrome Prevention
Ongororo yezvidzidzo yakapa mazano anotevera ekudzivirira Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Zorora
Tora kuzorora zvishoma 20-30 masekonzi mushure memaminitsi makumi maviri ega ega ekutasva.
Paunenge uchikwira, shandura nzvimbo kakawanda.
Simuka kutsika nguva nenguva.
Tora nguva yekuzorora pakati pezvikamu zvekutasva uye mijaho yekuzorora uye kuzorodza pelvic nerve. Kuzorora kwemazuva 3-10 kunogona kubatsira mukupora. (Durante, JA, uye Macintyre, IG 2010 )
Kana zviratidzo zvekurwadziwa kwepelvic zvisati zvatanga kukura, zorora uye ona mutapi wehutano kana nyanzvi kuti aongororwe.
chigaro
Shandisa chigaro chakapfava, chakafara nemhuno pfupi.
Iva nenzvimbo yechigaro kana kurerekera kumberi zvishoma.
Zvigaro zvine maburi ekucheka zvinoisa zvakanyanya kumanikidza pane perineum.
Kana chiveve kana kurwadziwa kuripo, edza chigaro chisina maburi.
Bike Fitting
Rongedza hurefu hwechigaro kuitira kuti ibvi rakakotama zvishoma pazasi pedeal stroke.
Huremu hwemuviri hunofanira kugara pamapfupa akagara/ischial tuberosities.
Kuchengeta mubato kureba pasi pechigaro kunogona kuderedza kudzvanywa.
Iyo Triathlon bhasikoro yakanyanyisa-mberi chinzvimbo inofanira kudzivirirwa.
Kuwedzera kurongeka kuri nani.
Mabhasikoro emakomo akave akabatanidzwa nehuwandu hwengozi ye erectile dysfunction kupfuura mabhasikoro emugwagwa.
zvikabudura
Pfeka zvikabudura zvebhasikoro.
Mishonga
Mutariri wehutano anogona kushandisa musanganiswa wekurapa.
Iyo neuropathy inogona kurapwa nekuzorora kana chikonzero chakanyanya kugara kana kuchovha bhasikoro.
Pelvic floor physical therapy inogona kubatsira kuzorora uye kurebesa tsandanyama.Zvirongwa zvekuvandudza muviri, kusanganisira kutambanudza uye kurovedza muviri kwakanangwa, zvinogona kusunungura tsinga.
Chiropractic kugadzirisa kunogona kugadzirisa musana uye pelvis.
Iyo inoshanda yekuburitsa tekinoroji / ART inosanganisira kushandisa kumanikidza kune tsandanyama munzvimbo iyi uchitambanudza uye uchisimbisa. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Nerve blocks inogona kubatsira kubvisa marwadzo anokonzerwa netsinga entrapment. (Kaur J. et al., 2024 )
Zvimwe zvinozorodza tsandanyama, antidepressants, uye anticonvulsants zvinogona kurairwa, dzimwe nguva pamwe chete.
Kuvhiyiwa kwetsinga kunogona kukurudzirwa kana mishonga yose inochengetedza yakapera. (Durante, JA, uye Macintyre, IG 2010 )
Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness uye kudya kunovaka muviri, Kurwara Kusingaperi, Kukuvara Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwemusana, Kurwadziwa Kwepashure, Kurwadziwa Kwemutsipa, Migraine Headaches, Kukuvara Kwemitambo, Yakaoma sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic. Marwadzo, Kukuvara Kwakaoma, Stress Management, uye Functional Medicine Kurapa. Kana munhu wacho achida kumwe kurapwa, achaendeswa kukiriniki kana chiremba anonyatsokodzera mamiriro avo ezvinhu, sezvo Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers.
Kubata uye Sciatica
VIDEO
References
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Neurobiological nzira dzekurwadziwa kwepelvic. BioMed tsvagiridzo yenyika, 2014, 903848. doi.org/10.1155/2014/903848
Kaur, J., Leslie, SW, & Singh, P. (2024). Pudendal Nerve Entrapment Syndrome. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/31334992
Durante, JA, & Macintyre, IG (2010). Pudendal nerve entrapment mune Ironman mutambi: nyaya yenyaya. The Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Kuongororwa, Kugadzirisa uye Kudzivirira Matanho ePudendal Neuropathy muCyclists, A Systematic Review. Nyaya yekushanda morphology uye kinesiology, 6 (2), 42. doi.org/10.3390/jfmk6020042
by Dr Alex Jimenez Pamuviri Utano , Spine Care
Kune vanhu vakaneta dzimwe nzira dzese dzekurapa dzekurwadziwa kwemusana uye nerve root compression, kuvhiyiwa kwelaser spine kunogona kubatsira kuderedza kudzvanywa kwetsinga uye kupa zororo rinogara kwenguva refu?
Laser Spine Surgery
Laser spine kuvhiyiwa ishoma invasive kuvhiya maitiro ayo anoshandisa laser kucheka nekubvisa masipinha zvimiro zviri kumanikidza tsinga uye kukonzera kurwadziwa kwakanyanya. Maitiro ekuita zvishoma anowanzo konzera kurwadziwa kushoma, kukuvara kwetishu, uye kupora nekukurumidza kupfuura kuvhiya kwakawanda.
Ainoita
Minimally invasive maitiro anokonzera kushoma mavanga uye kukuvadza kune zvivako zvakapoteredza, kazhinji kuderedza zviratidzo zvinorwadza uye nguva shoma yekudzorera. (Stern, J. 2009 ) Zvidiki zvidiki zvinogadzirwa kuti zviwane spinal column zvimiro. Nekuvhiyiwa kwakavhurika-musana, kuchekwa kukuru kunoitwa pasi kumashure kuti uwane musana. Kuvhiya kwacho kunosiyana nekumwe kuvhiya pakuti danda relaser, pane zvimwe zviridzwa zvekuvhiya, rinoshandiswa kucheka zvimiro mumusana. Zvisinei, kuchekwa kwekutanga kuburikidza neganda kunogadzirwa nekuvhiya scalpel. Laser ipfupiso yeChiedza Amplification Inokurudzirwa neEmission of Radiation. Laser inogona kuburitsa kupisa kwakanyanya kucheka nepakati zvinyoro zvinyoro, kunyanya izvo zvine mvura yakakwira, senge spinal column discs. (Stern, J. 2009 ) Kune akawanda ekuvhiyiwa kwemuzongoza, iyo laser haigone kushandiswa kucheka nepakati pebhonzo sezvo ichigadzira ipapo sparks zvinogona kukuvadza zvimiro zvakatenderedza. Asi, kuvhiyiwa kwelaser spine kunonyanya kushandiswa kuita discectomy, inova nzira yekuvhiya inobvisa chikamu chebulging kana herniated disc iyo iri kusundira kune yakatenderedza tsinga midzi, zvichikonzera kudzvinyirira kwetsinga uye sciatic kurwadziwa. (Stern, J. 2009 )
Kuvhiya Ngozi
Kuvhiyiwa kweLaser spine kunogona kubatsira kugadzirisa chikonzero chekumanikidzwa kwetsinga midzi, asi kune njodzi yakawedzera yekukuvadza kune zvivakwa zviri pedyo. Njodzi dzinobatanidzwa dzinosanganisira: (Brouwer, PA et al., 2015 )
Kurwara
Bleeding
Ropa rinovhara
Zviratidzo zvakasara
Kudzorera zviratidzo
Kuwedzera kukuvara kwetsinga
Kukuvadza kune membrane yakatenderedza musana.
Kuda kumwe kuvhiyiwa
Laser beam haina kurongeka semamwe maturusi ekuvhiya uye inoda kudzidzira kugona uye kudzora kudzivirira kukuvara kumusana uye nerve midzi. (Stern, J. 2009 ) Nemhaka yokuti lasers haigoni kugura nepakati pemapfupa, zvimwe midziyo yekuvhiya inowanzoshandiswa kumativi emakona uye pamakona akasiyana-siyana nokuti inoshanda zvakanyanya uye inobvumira kunyatsojeka. (Atlantic Brain uye Spine, 2022 )
chinangwa
Kuvhiyiwa kweLaser spine kunoitwa kubvisa zvimiro zviri kukonzera kutsinga kwetsinga. Nerve root compression inosanganiswa nemamiriro anotevera (Cleveland Clinic. 2018 )
Bulging discs
Herniated discs
Sciatica
Spinal stenosis
Musana tambo mamota
Midzi yetsinga yakakuvara kana kukuvadzwa uye inogara ichitumira zviratidzo zvinorwadza zvisingaperi zvinogona kubviswa nekuvhiyiwa kwelaser, kunozivikanwa se nerve ablation. Iyo laser inopisa uye inoparadza nerve fibers. (Stern, J. 2009 ) Nekuti kuvhiyiwa kwelaser spine kunogumira mukurapa kumwe kusagadzikana kwemusana, maitiro mazhinji emuzongoza asingashandisi laser. (Atlantic Brain uye Spine. 2022 )
Kugadzirira
Chikwata chekuvhiya chinopa mirairo yakadzama pamusoro pezvaunofanira kuita mumazuva nemaawa vasati vavhiyiwa. Kukurudzira kuporeswa kwakanaka uye kupora kwakanaka, zvinokurudzirwa kuti murwere arambe achishanda, adye chikafu chine hutano, uye arege kusvuta asati avhiyiwa. Vanhu vangada kurega kutora mimwe mishonga kudzivirira kubuda ropa kwakanyanya kana kusangana neanesthesia panguva yekuvhiya. Zivisai mutano wehutano nezvese zvinonyorerwa, over-the-counter zvinodhaka, uye zvekuwedzera zviri kutorwa.
Kuvhiyiwa kweLaser spine inzira yekunze kuchipatara kana nzvimbo yekuvhiya yekunze. Murwere angangoenda kumba pazuva rimwe chete rekuvhiyiwa. (Cleveland Clinic. 2018 ) Varwere havagoni kutyaira vachienda kana kuti kubva kuchipatara vasati vavhiyiwa kana kuti vapedza, saka rongai kuti mhuri kana shamwari dzivape chokufambisa. Kuderedza kushushikana uye kukoshesa hutano hwepfungwa uye hwepfungwa kwakakosha kudzikisa kuzvimba uye kubatsira kupora. Utano hwemurwere hunoenda mukuvhiyiwa, zviri nyore kupora uye kugadzirisa.
Zvatinotarisira
Kuvhiyiwa kuchasarudzwa nemurwere uye mupi wehutano uye kunorongwa kuchipatara kana kunze kwekuvhiya nzvimbo. Ronga kuti shamwari kana nhengo yemhuri ityaire kuenda kunovhiyiwa uye kumba.
Before Surgery
Murwere achaendeswa kukamuri yepamberi uye anokumbirwa kuti achinje gauni.
Murwere achaongororwa kwenguva pfupi mumuviri uye apindure mibvunzo nezve nhoroondo yekurapa.
Murwere anorara pamubhedha wemuchipatara, uye mukoti anoisa IV kuti aendese mishonga nemvura.
Boka rekuvhiya richashandisa mubhedha wechipatara kutakura murwere mukati nekubuda mukamuri yekuvhiya.
Chikwata chekuvhiya chichabatsira murwere kupinda patafura yekuvhiya, uye murwere achapihwa anesthesia.
Murwere anogona kugamuchira general anesthesia , izvo zvichaita kuti murwere arare kuvhiyiwa, kana regional anesthesia , kubaiwa muzongoza kuti riveveve nzvimbo yakabatwa. (Cleveland Clinic. 2018 )
Chikwata chekuvhiya chinozouraya ganda uko kuchaitwa.
Mushonga unouraya utachiona uchashandiswa kuuraya utachiona uye kudzivirira njodzi yeutachiona.
Kana wacheneswa, mutumbi unozofukidzwa nemachira ekudzivirira kuti nzvimbo yekuvhiyiwa igare yakachena.
Panguva Yokuvhiya
Kune discectomy, chiremba anovhiya achaita diki incision isingasviki masendimita imwe pakureba ine scalpel pamwe nemuzongoza kuti uwane nerve midzi.
Chishandiso chekuvhiya chinonzi endoscope ikhamera inopinzwa mukati meiyo yekuona musana. (Brouwer, PA et al., 2015 )
Kamwe dambudziko redhisiki chikamu chinokonzera compression iripo, iyo laser inoiswa kuti icheke nayo.
Iyo yakachekwa disc chikamu inobviswa, uye iyo incision saiti yakashongedzwa.
Mushure mekuvhiya
Mushure mekuvhiyiwa, murwere anounzwa kuimba yekudzikinura, uko zviratidzo zvakakosha zvinotariswa sezvo mhedzisiro yeanesthesia inopera.
Kana yagadzikana, murwere anogona kazhinji kuenda kumba kweawa imwe kana maviri mushure mekuvhiyiwa.
Chiremba anovhiya achasarudza kana munhu wacho akajeka kuti atangezve kutyaira.
kupora
Kutevera discectomy, munhu wacho anogona kudzokera kubasa mukati memazuva mashomanana kusvika kumavhiki mashomanana, zvichienderana nekuoma, asi zvinogona kutora kusvika kumwedzi mitatu kuti adzokere kumabasa emazuva ose. Kureba kwekupora kunogona kubva pamavhiki maviri kusvika mana kana pasi kuti utangezve basa rekugara kana mavhiki masere kusvika gumi nemaviri kune rimwe basa rinorema rinoda kusimudza zvinorema. (Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu, 2021 ) Mumavhiki maviri ekutanga, murwere anopihwa zvirambidzo kuitira kuti musana upore kusvika wanyatsogadzikana. Zvirambidzo zvinogona kusanganisira: (Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu, 2021 )
Hapana kukotama, kumonyorora, kana kusimudza.
Hapana kurovedza muviri kunonetesa, kusanganisira kurovedza muviri, basa repamba, basa repachivanze, uye bonde.
Hapana doro padanho rekutanga rekupora kana uchitora narcotic pain pain.
Hapana kutyaira kana kushandisa mota kusvika yakurukurwa nachiremba anovhiya.
Mutariri wehutano anogona kukurudzira physically therapy kuzorora, kusimbisa, uye kuchengetedza hutano hwemusculoskeletal. Kurapa kwepanyama kunogona kuva kaviri kana katatu pavhiki kwemavhiki mana kusvika matanhatu.
urongwa
Zvakanakira kudzoreredza kurudziro dzinosanganisira:
Kurara zvakakwana, maawa manomwe kusvika masere.
Kuchengeta mafungire akanaka uye kudzidza kubata uye kugadzirisa kushushikana.
Kuchengetedza hydration yemuviri.
Kutevera chirongwa chekurovedza muviri sekurairwa nemurapi wepanyama.
Kudzidzira hutano hwakanaka nekugara, kumira, kufamba, uye kurara.
Kugara uchishanda uye kudzikisira huwandu hwenguva yakashandiswa wakagara. Edza kusimuka uye kufamba maawa maviri kusvika kumaawa maviri masikati kuti ugare wakashanda uye kudzivirira kuvhara ropa. Zvishoma nezvishoma wedzera huwandu hwenguva kana chinhambwe sezvo kupora kunowedzera.
Usasundidzira kuita zvakawandisa nekukurumidza. Kuwedzera muviri kunogona kuwedzera marwadzo uye kunonoka kupora.
Kudzidza nzira dzekusimudza dzekushandisa mhasuru uye mhasuru dzemakumbo kudzivirira kuwedzera kumanikidza pamuzongoza.
Kurukurai nzira dzekurapa dzekutarisira zviratidzo nemupi wehutano kana nyanzvi kuti uone kana laser spine kuvhiya kwakakodzera. Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers. Isu tinotarisa kudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwenyama yakapfava tichishandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, uye Rehabilitation Systems kwemazera ose. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Basa Kukuvara, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Marwadzo, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocol.
Nzira Isiri Yekuvhiya
VIDEO
References
Stern, J. SpineLine. (2009). Lasers muSpine Surgery: Ongororo. Mafungiro Azvino, 17-23. www.spine.org/Portals/0/assets/downloads/KnowYourBack/LaserSurgery.pdf
Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). Percutaneous laser disc decompression inopesana neyakajairwa microdiscectomy mu sciatica: a randomized controlled trial. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 15 (5), 857-865. doi.org/10.1016/j.spinee.2015.01.020
Atlantic Brain uye Spine. (2022). Chokwadi Nezve Laser Spine Surgery [2022 Update]. Atlantic Brain uye Spine Blog. www.brainspinesurgery.com/blog/the-truth-about-laser-spine-surgery-2022-update?rq=Laser%20Spine%20Surgery
Cleveland Clinic. (2018). Ko Laser Spine Surgery Inogona Kugadzirisa Kurwadza Kwako Kwekumashure? health.clevelandclinic.org/can-laser-spine-surgery-fix-your-back-pain/
Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu. (2021). Mirayiridzo Yekuchengeta Mumba mushure meLumbar Laminectomy, Decompression kana Discectomy Surgery. patient.uwhealth.org/healthfacts/4466
by Dr Alex Jimenez Chiropractic , Pasi Pasi Pain
Vanhu vanogona kuwana bundu, bundu, kana nodule pasi peganda rakatenderedza kuzasi kwavo, mahudyu, uye sacrum izvo zvinogona kukonzera marwadzo nekumanikidza tsinga uye kukuvadza iyo fascia. Kuziva mamiriro akabatana navo uye zviratidzo zvavo kunobatsira varapi vehutano kuona kuongororwa uye kugadzira hurongwa hwekurapa hunoshanda hwekuona?
Mapundu Anorwadza, Nodules Around Low Back, Hips, uye Sacrum
Marwadzo anorwadza mukati nekutenderera muhudyu, the sacrum , uye kuzasi mabundu emafuta kana kuti lipomas, matishu ane fibrous, kana mamwe marudzi emapundu anofamba kana akadzvanywa. Vamwe vatapi vehutano uye chiropractors, kunyanya, vanoshandisa izwi risiri rekurapa musana mbeva (Muna 1937, izwi iri raishandiswa kurondedzera mapundu akabatana ne episacroiliac lipoma) kutsanangura mapundu. Vamwe vashandi vehutano vanopokana nekudaidza mbeva dzakawanda nekuti hazvina kujeka uye zvinogona kutungamira mukusaziva kana kurapwa zvisirizvo.
Zvizhinji zvinoratidzira munzvimbo yezasi uye muhudyu.
Mune zvimwe zviitiko, ivo vanobuda kana herniate kuburikidza ne lumbodorsal fascia kana network yekubatanidza tishu inovhara yakadzika tsandanyama dzezasi nepakati kumashure.
Mamwe mapundu anogona kukura munyama iri pasi peganda.
Nhasi, mamiriro mazhinji akabatana nemapundu emakonzo, anosanganisira:
Iliac crest pain syndrome
Multifidus Triangle syndrome
Lumbar fascial mafuta herniation
Lumbosacral (sacrum) mafuta herniation
Episacral lipoma
Related Conditions
Iliac Crest Pain Syndrome
Iyo inozivikanwawo se iliolumbar syndrome, iliac crest pain syndrome inokura apo kubvaruka mu ligament kunoitika.
Iyo ligament band inobatanidza yechina neyechishanu lumbar vertebrae neilium kune rimwe divi. (Dąbrowski, K. Ciszek, B. 2023 )
Zvikonzero zvinosanganisira :Kubvarura ligament kubva pakudzokorora kukotama nekumonyoroka.
Kushungurudzika kana kuputsika kweilium bone kunokonzerwa nekudonha kana kudhumhana kwemotokari.
Multifidus Triangle Syndrome
Multifidus triangle syndrome inokura apo mhasuru dzemultifidus dziri pedyo nemuzongoza dzinopera simba uye dzinoderedza basa kana kugona.
Idzi tsandanyama dzinogona atrophy, uye intramuscular fatty tissue inogona kutsiva tsandanyama.
Atrophied muscles inoderedza kugadzikana kwemusana uye inogona kukonzera kurwadza kwemusana. (Seyedhoseinpoor, T. et al., 2022 )
Lumbar Facial Fat Herniation
Lumbodorsal fascia itambo yakatetepa ine fibrous membrane inovhara musana wakadzika mhasuru.
Lumbar fascial fat herniation inorwadza kuwanda kwemafuta anobuda kana kuti hernia kuburikidza ne membrane, anobatwa uye kupisa, uye anokonzera kurwadziwa.
Zvikonzero zverudzi urwu rweherniation parizvino hazvizivikanwe.
Lumbosacral (Sacrum) Fat Herniation
Lumbosacral inotsanangura apo lumbar spine inosangana ne sacrum.
Lumbosacral mafuta herniation inorwadza misa senge lumbar facial herniation mune imwe nzvimbo yakatenderedza sacrum.
Zvikonzero zverudzi urwu rweherniation parizvino hazvizivikanwe.
Episacral Lipoma
Episacral lipoma idiki diki rinorwadza pasi peganda iro rinonyanya kukura pamusoro pekumusoro kwekunze kwefupa repelvic. Aya mapundu anoitika kana chikamu chedorsal mafuta pad chichibuda nekubvarura muthoracodorsal fascia, iyo inobatana tishu inobatsira kubata mhasuru dzekumusana panzvimbo. (Erdem, HR et al., 2013 ) Murapi wezvehutano anogona kuendesa munhu kuna chiremba wemapfupa kana mabhonzo nezve lipoma iyi. Munhu anogonawo kuwana zororo rekurwadziwa kubva kune massage therapist anoziva mamiriro acho. (Erdem, HR et al., 2013 )
zviratidzo
Mapundu ekumashure anowanzoonekwa pasi peganda. Ivo vanowanzo nyoro pakubata uye vanogona kuita kuti kugara pachigaro kana kurara kumashure kuome, sezvavanowanzo kuoneka pamapfupa ehudyu uye nzvimbo yesacroiliac. (Bicket, MC et al., 2016 ) Manodule anogona:
Iva akasimba kana kuti akasimba.
Iva nekunzwa elastic.
Famba pasi peganda kana wakamanikidzwa.
Kukonzera kurwadziwa kwakanyanya, kwakanyanya.
Marwadzo anokonzerwa nekumanikidzwa pabundu, iyo inomanikidza tsinga.
Kukuvadza kune pasi pe fascia kunogona kukonzera zviratidzo zvinorwadza.
kuongorora chirwere
Vamwe vanhu havazive kuti vane zvipundu kana mapundu kutozosvikira dzvinyiriro yaiswa. Chiropractors uye masaja therapists vanowanzovawana panguva yekurapa asi havatarise kukura kwemafuta asina kujairika. Chiropractor kana masaja therapist anoendesa murwere kune ane hunyanzvi dermatologist kana nyanzvi yekurapa anogona kuita zvidzidzo zvekufungidzira uye biopsy. Kuona kuti mapundu acho ndeapi anogona kunetsa nekuti haana kujeka. Varapi vezvehutano dzimwe nguva vanoongorora machundu nekuabaya jekiseni neanotindivadza emunharaunda. (Bicket, MC et al., 2016 )
Kusiyanisa Kuziva
Iwo mafuta anoiswa anogona kuve chero nhamba yezvinhu, uye zvakafanana zvinoshanda kune masosi ekurwadziwa kwetsinga. Mutariri wehutano anogona kuwedzera kuongorora nekutonga zvimwe zvikonzero, izvo zvinogona kusanganisira:
Sebaceous Cysts
A benign, fluid-filled capsule pakati pezvikamu zveganda.
Subcutaneous Abscess
Muunganidzwa we pus pasi peganda.
Kazhinji zvinorwadza.
Inogona kupisa.
Sciatica
Kupisa marwadzo etsinga pasi rimwe kana makumbo ose anokonzerwa ne disc herniated, bone spur, kana spasming muscles muzasi kumashure.
Liposarcoma
Mamota akaipa dzimwe nguva anogona kuoneka sekukura kwemafuta mumamhasuru.
Liposarcoma inowanzoonekwa nebiopsy, apo imwe matishu inobviswa kubva paguvhu uye inoongororwa masero egomarara. (Johns Hopkins Medicine. 2024)
MRI kana CT scan inogonawo kuitwa kuti ione nzvimbo chaiyo ye nodule.
Painful lipomas inobatanidzwawo ne fibromyalgia.
mabatiro
Manodule ekumashure anowanzo kuve asina kunaka, saka hapana chikonzero chekuabvisa kunze kwekunge ari kukonzera marwadzo kana matambudziko ekufamba (American Academy of Orthopedic Surgeons: OrthoInfo. 2023 ) Zvisinei, vanofanirwa kuongororwa kuti havazi gomarara. Kurapa kunowanzo sanganisira jekiseni reanesthetics, senge lidocaine kana corticosteroids, pamwe chete nepamusoro-the-counter zvinoderedza marwadzo seNSAIDs.
Surgery
Kana kurwadziwa kwakanyanya, kubviswa kwekuvhiya kunogona kukurudzirwa. Izvi zvinosanganisira kucheka misa uye kugadzirisa iyo fascia yekuzorodzwa kusingaperi. Nekudaro, kubvisa kunogona kusakurudzirwa kana paine machuru mazhinji, sezvo vamwe vanhu vachigona kuva nemazana. Liposuction inogona kushanda kana mapundu ari madiki, akawedzera, uye aine mvura yakawanda. (Chiremba wemhuri yeAmerica. 2002 ) Matambudziko ekuvhiya kubviswa anogona kusanganisira:
Scarring
Kudzora
Zvisina kuenzana zveganda
Kurwara
Kuwedzera uye Kumwe Kurapa
Complimentary uye Alternative Medicine marapirwo senge acupuncture, yakaoma needling, uye spinal manipulation inogona kubatsira. Vanachiropractors vazhinji vanotenda kuti mazamu ekumashure anogona kurapwa zvinobudirira nekuwedzera uye mamwe marapirwo. Nzira yakajairika inoshandisa acupuncture uye spinal manipulation musanganiswa. Imwe nyaya yekuongorora yakashuma kuti jekiseni reanesthetic rinoteverwa nekuoma kunoda, kwakafanana neacupuncture, kunatsiridza marwadzo. (Bicket, MC et al., 2016 )
Injury Medical Chiropractic uye Functional Medicine Clinic inyanzvi mukufambira mberi kwekurapa uye maitiro ekugadzirisa maitiro anotarisana nekudzorera mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwenyama yakapfava uye kupora kwakazara. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injury, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Marwadzo, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocol. Kana munhu wacho achida kumwe kurapwa, achaendeswa kukiriniki kana chiremba anonyatsokodzera mamiriro avo ezvinhu, sezvo Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers.
Beyod the Surface
VIDEO
References
Dąbrowski, K., & Ciszek, B. (2023). Anatomy uye morphology ye iliolumbar ligament. Kuvhiya uye radiologic anatomy: SRA, 45 (2), 169-173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, MA, Takamjani, IE, Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Kushandurwa kwe lumbar muscle morphology uye kuumbwa maererano nekurwadziwa kwepashure: kuongorora kwakarongeka uye meta-analysis. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 22 (4), 660-676. doi.org/10.1016/j.spinee.2021.10.018
Erdem, HR, Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [Episacral lipoma: chikonzero chinorapika chemarwadzo emusana]. Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = Chinyorwa cheTurkey Society of Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626
Bicket, MC, Simmons, C., & Zheng, Y. (2016). Izvo Zvirongwa Zvakanakisisa-Zvakarongwa zve "Kumashure Mice" uye Varume: Nyaya Yenyaya uye Mabhuku Ongororo yeEpisacroiliac Lipoma. Chiremba wemarwadzo, 19 (3), 181-188.
Johns Hopkins Mushonga. (2024). Liposarcoma. www.hopkinsmedicine.org/health/conditions-and-diseases/sarcoma/liposarcoma
American Academy of Orthopedic Surgeons: OrthoInfo. (2023). Lipoma. orthoinfo.aaos.org/en/diseases-conditions/lipoma
Chiremba wemhuri yeAmerica. (2002). Lipoma excision. Chiremba wemhuri yeAmerica, 65(5), 901-905. www.aafp.org/pubs/afp/issues/2002/0301/p901.html
by Dr Alex Jimenez Nerve Injury , Sciatica
Kana sciatica kana mamwe marwadzo etsinga anouya, kudzidza kusiyanisa pakati pemarwadzo etsinga nemhando dzakasiyana dzemarwadzo kubatsira vanhu kuziva kana musana wetsinga midzi inotsamwiswa kana kumanikidzwa kana mamwe matambudziko akakomba anoda kurapwa?
Spinal Nerve Roots uye Dermatomes
Mamiriro emusana akadai semadhisiki e-herniated uye stenosis anogona kutungamirira kumarwadzo anopenya anofamba pasi ruoko rumwe kana gumbo. Zvimwe zviratidzo zvinosanganisira kupera simba, chiveve, uye/kana kupfura kana kupisa kunzwa kwemagetsi. Izwi rekurapa repinched nerve zviratidzo ndeye radiculopathy (National Institutes of Health: National Institute of Neurological Disorders uye Stroke. 2020 ) Dermatomes inogona kukonzeresa kutsamwiswa mumusana, uko midzi yetsinga inokonzera zviratidzo kumashure nemakumbo.
Anatomy
Muzongoza une zvikamu makumi matatu nerimwe.
Chikamu chega chega chine nerve midzi kurudyi nekuruboshwe iyo inopa mota uye seya mabasa kumakumbo.
Matavi epamberi uye kumashure anotaurirana anobatana kuti aumbe tsinga dzemuzongoza dzinobuda mugero re vertebral.
Iwo 31 musana zvikamu zvinoguma 31 musana tsinga.
Imwe neimwe inotumira sensory nerve yekupinda kubva kune chaiyo ganda dunhu kudivi iro uye nzvimbo yemuviri.
Nzvimbo idzi dzinonzi dermatomes.
Kunze kweyekutanga cervical spinal nerve, dermatomes iripo kune yega yega musana.
Mitsipa yemusana uye dermatomes yakabatana nayo inoumba network mumuviri wese.
Dermatomes Chinangwa
Dermatomes inzvimbo yemuviri / yeganda ine yekunzwa yekupinza inopihwa kune yega musana tsinga. Imwe neimwe tsinga ine dermatome yakabatana, uye matavi akasiyana-siyana anopa dermatome imwe neimwe kubva kune imwechete nerve mudzi. Dermatomes inzira dzekuti ruzivo rwesensational muganda rinoendesa masaini kuenda nekubva kupakati tsinga system. Manzwiro anonzwa mumuviri, senge kudzvanywa uye tembiricha, anoendeswa kune yepakati tsinga system. Kana musana wetsinga midzi inomanikidzwa kana kutsamwiswa, kazhinji nekuti inosangana nechimwe chimiro, inoguma neradiculopathy. (National Institutes of Health: National Institute of Neurological Disorders uye Stroke. 2020 ).
Radiculopathy
Radiculopathy inotsanangura zviratidzo zvinokonzerwa nepinched nerve padyo nemuzongoza. Zviratidzo uye manzwiro zvinoenderana nekuti tsinga yakapinirwa kupi uye nehukuru hwekumanikidza.
Cervical
Ichi chirwere chekurwadziwa uye / kana sensorimotor kushomeka kana tsinga midzi mumutsipa yakamanikidzwa.
Inowanzo ratidza kurwadziwa kunodzika neruoko rumwe.
Vanhu vanogona zvakare kunzwa kunzwa kwemagetsi semapini netsono, kuvhunduka, uye kunzwa kupisa, pamwe nezviratidzo zvemota senge kushaya simba uye chiveve.
Lumbar
Iyi radiculopathy inokonzerwa nekumanikidzwa, kuzvimba, kana kukuvara kumusana wetsinga muzasi kumashure.
Manzwiro ekurwadziwa, kusanzwa, kurira, magetsi kana kupisa manzwiro, uye zviratidzo zvemotokari sekushaya simba kunofamba negumbo rimwe zvakajairika.
kuongorora chirwere
Chikamu cheradiculopathy chekuongorora chemuviri chiri kuyedza iyo dermatome yekunzwa. Murapi achashandisa bvunzo dzemanyorero kuti aone nhanho yemuzongoza kubva kunobva zviratidzo. Kuongororwa kwemaoko kunowanzo kuperekedzwa nekuongorora kufungidzira bvunzo seMRI, iyo inogona kuratidza kusagadzikana mumusana wetsinga midzi. Kuongororwa kwakakwana kwemuviri kuchaona kana musana wetsinga midzi ndiko kunobva zviratidzo.
Kurapa Zvikonzero Zvikuru
Zvirwere zvakawanda zvemusana zvinogona kurapwa nemishonga inochengetedza kuti ipe rubatsiro rwekurwadziwa. Kune herniated disk, semuenzaniso, vanhu vanogona kukurudzirwa kuzorora uye kutora nonsteroidal anti-inflammatory medication. Acupuncture, kurapa kwepanyama, chiropractic, kwete-kuvhiya traction, kana decompression therapies inogonawo kunyorerwa. Nekurwadziwa kwakanyanya, vanhu vanogona kupihwa jekiseni re epidural steroid iro rinogona kupa zororo rekurwadziwa nekuderedza kuzvimba. (American Academy of Orthopedic Surgeons: OrthoInfo. 2022 ) Kune spinal stenosis, mupi anogona kutanga atarisa pakurapa kwemuviri kuti avandudze kusimba kwese, kusimbisa madumbu uye kumashure mamhasuru, uye kuchengetedza kufamba mumuzongoza. Mishonga inobvisa marwadzo, kusanganisira NSAIDs uye majekiseni e corticosteroid, inogona kuderedza kuzvimba uye kubvisa marwadzo. (American College yeRheumatology. 2023 ) Varapi vepanyama vanopa marapirwo akasiyana siyana ekudzikisa zviratidzo, zvinosanganisira manyore uye mechanical decompression uye traction. Kuvhiya kunogona kukurudzirwa kune zviitiko zve radiculopathy iyo isingapinduri kune kurapa kwekuchengetedza.
Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injury, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Marwadzo, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocol. Isu tinotarisa kudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwematishu akapfava tichishandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility, uye mobility Fitness Training, uye Rehabilitation Systems kwemazera ose. Kana munhu wacho achida kumwe kurapwa, anozoendeswa kukiriniki kana chiremba anonyatsokodzera mamiriro avo. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers kuti vauye neEl Paso, mishonga yepamusoro yekiriniki, kunharaunda yedu.
Dzorera Kufamba Kwako: Chiropractic Care For Sciatica Recovery
VIDEO
References
National Institutes of Health: National Institute of Neurological Disorders uye Stroke. (2020). Low back pain fact sheet. Zvakatorwa kubva www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf
American Academy of Orthopedic Surgeons: OrthoInfo. (2022). Herniated disk muzasi kumashure. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/
American College yeRheumatology. (2023). Spinal stenosis. rheumatology.org/patients/spinal-stenosis
by Dr Alex Jimenez Kutemwa nemusoro nekurapwa , Migraines
Kune vanhu vanorwara nemusoro wemigraine, kubatanidza kurapwa kwemuviri kunogona kubatsira kuderedza marwadzo, kunatsiridza kufamba, uye kubata kurwiswa mune ramangwana?
Migraine Physical Therapy
Cervicogenic migraine misoro inogona kukonzera marwadzo, zvishoma kufamba, kana kuvhiringidza zviratidzo senge chizuru kana kusvotwa. Vanogona kubva kumutsipa kana cervical spine uye kunzi cervicogenic misoro. A chiropractic physical therapy team inogona kuongorora musana uye kupa marapirwo anobatsira kuvandudza kufamba uye kuderedza marwadzo. Vanhu vanogona kubatsirwa nekushanda nemigraine physiotherapy timu kuti vaite marapirwo emamwe mamiriro, nekukurumidza uye zvakachengeteka kubvisa marwadzo uye kudzokera kune yavo yapfuura nhanho yebasa.
Cervical Spine Anatomy
Mutsipa unoumbwa neanomwe akaturikidzana ecervical vertebrae. Iyo cervical vertebrae inodzivirira musana uye inobvumira mutsipa kufamba nepakati:
Kufungidzirwa
Extension
Kuchinja
Rutivi rwakakotama
Iyo yepamusoro yekervical vertebrae inobatsira kutsigira dehenya. Kune majoini kumativi ese echikamu chechibereko. Imwe inobatanidza kuseri kwedehenya uye inobvumira kufamba. Iyi suboccipital nzvimbo inogara kune akati wandei mamhasuru anotsigira uye anofambisa musoro, aine tsinga dzinofamba kubva mumutsipa kuburikidza neiyo suboccipital nzvimbo ichipinda mumusoro. Mitsipa uye tsandanyama munzvimbo ino zvinogona kukonzera kurwadziwa kwemutsipa uye / kana misoro.
zviratidzo
Kamwe kamwe mafambiro anogona kukonzera zviratidzo zve cervicogenic migraine, kana kuti vanogona kuuya panguva yakaramba iripo yemutsipa. (Peji P. 2011 ) Zviratidzo zvacho zvinogara zvisingaite uye hazvibatike uye zvinogona kutora maawa akawanda kusvika mazuva. Zviratidzo zve cervicogenic migraine musoro zvinogona kusanganisira:
Marwadzo kumativi maviri kumashure kwemusoro.
Marwadzo kumashure kwemusoro anopenya kune rimwe bendekete.
Marwadzo kune rumwe rutivi rwemutsipa wepamusoro unopenya kutemberi, huma, kana ziso.
Marwadzo mune rumwe rutivi rwechiso kana dama.
Yakaderedzwa huwandu hwekufamba mumutsipa.
Kunzwisisa kuedza kana kurira
Nausea
Dzungu kana vertigo
kuongorora chirwere
Zvishandiso izvo chiremba angashandisa zvinogona kusanganisira:
X-ray
MRI
CT scan
Kuongororwa kwepanyama kunosanganisira mitsipa yekufamba uye palpation yemutsipa uye dehenya.
Diagnostic nerve blocks uye majekiseni.
Neck imaging zvidzidzo zvinogonawo kuratidza:
Chironda
Kuputika kana herniated disc
Disc kuora
Arthritis kuchinja
Cervicogenic headache diagnosis inowanzoitwa ne-side-side, kwete-throbbing headache pain uye kurasikirwa kwemutsipa wekufamba. (Headache Classification Committee yeInternational Headache Society. 2013 ) Mutariri wehutano anogona kutumira munhu wacho kuhutano hwepanyama kurapa cervicogenic misoro kana yaonekwa. (Rana MV 2013 )
Therapy Therapy
Paunotanga kushanyira chiremba wepanyama, vachapfuura nenhoroondo yezvokurapa uye mamiriro ezvinhu, uye mibvunzo ichabvunzwa pamusoro pekutanga kwemarwadzo, maitiro ezviratidzo, mishonga, uye zvidzidzo zvekuongorora. Murapi anozobvunzawo nezve kurapwa kwakapfuura uye kuongorora nhoroondo yekurapa uye yekuvhiya. Zvikamu zvekuongorora zvinogona kusanganisira:
Palpation yemutsipa nedehenya
Zviyero zvemutsipa wekufamba
Kuyera kwesimba
Postural assessment
Kana kuongororwa kwapera, murapi anozoshanda nemunhu kugadzira chirongwa chemunhu chekurapa uye zvinangwa zvekuvandudza. Mishonga yakasiyana-siyana iripo.
kusimbisa muviri
Kudzidzira kuvandudza kufamba kwemutsipa uye kuderedza kudzvinyirira pamutsipa wekervical kunogona kurongerwa uye kunogona kusanganisira. (Park, SK et al., 2017 )
Cervical kutenderera
Cervical flexion
Cervical side kukotama
Cervical retraction
Murapi anodzidzisa munhu wacho kufamba zvishoma nezvishoma uye zvakatsiga uye kudzivirira kufamba kamwe kamwe kana jerky.
Postural Kururamiswa
Kana kumberi kwemusoro kuripo, iyo yekumusoro cervical musana uye suboccipital nzvimbo inogona kumanikidza tsinga dzinofamba kuseri kwedehenya. Kugadzirisa chimiro chinogona kunge chiri nzira inoshanda yekurapa uye inogona kusanganisira:
Kuita zvakanangwa postural exercises.
Kushandisa mutsago wemutsipa unotsigira kurara.
Kushandisa chitsigiro chechiuno kana wakagara.
Kinesiology taping inogona kubatsira kuwedzera tactile kuziva kwemashure uye mutsipa chinzvimbo uye kuvandudza kwese postural kuziva.
Kupisa / Ice
Kupisa kana chando chinogona kuiswa pamutsipa uye dehenya kubatsira kuderedza marwadzo uye kuzvimba.
Kupisa kunogona kubatsira kuzorodza tsandanyama dzakasimba uye kuvandudza kutenderera uye inogona kushandiswa isati yaita mitsipa yakatambanudzwa.
masaja
Kana mhasuru dzakasimba dzichidzikamisa kufamba kwemutsipa uye kukonzera kurwadziwa kwemusoro, masaja inogona kubatsira kuvandudza kufamba.
Imwe nzira yakakosha inonzi suboccipital release inosunungura mhasuru dzinosungirira dehenya pamutsipa kuitira kufambisa zvakanaka uye kuderedza kushatirwa kwetsinga.
Manual uye Mechanical Traction
Chikamu chemigraine chirongwa chekurapa muviri chinogona kusanganisira mechanical kana manual traction kuti decompress mitsipa discs uye majoini, kunatsiridza kufamba mumutsipa, uye kuderedza marwadzo.
Joint mobilizations inogona kushandiswa kuvandudza kufamba kwemutsipa uye kugadzirisa marwadzo. (Paquin, JP 2021 )
Kukurudzira kweMagetsi
Kukurudzira kwemagetsi, kufanana electro-acupuncture kana transcutaneous neuromuscular magetsi stimulation, inogona kushandiswa pamitsipa yemutsipa kuderedza marwadzo nekuvandudza zviratidzo zvemusoro.
Therapy Duration
Yakawanda migraine physiology therapy sessions yecervicogenic headaches inotora mavhiki mana kusvika matanhatu. Vanhu vanogona kuwana zororo mukati memazuva mashoma ekutanga kurapwa, kana zviratidzo zvinogona kuuya nekuenda muzvikamu zvakasiyana kwemavhiki. Chimwe chiitiko chakaenderera mberi migraine musoro kurwadziwa kwemwedzi mushure mekutanga kurapwa uye kushandisa maitiro avakadzidza kubatsira kudzora zviratidzo.
Injury Medical Chiropractic uye Functional Medicine Clinic inyanzvi mukufambira mberi kwekurapa uye maitiro ekugadzirisa ekugadzirisa akatarisana nekudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwematishu akapfava. Isu tinoshandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility uye mobility Fitness Training, uye Rehabilitation Systems kune mazera ose. Zvirongwa zvedu zvechisikigo zvinoshandisa kugona kwemuviri kuzadzisa zvakayerwa zvinangwa. Takabatana nevakuru veguta vanachiremba, varapi, uye varairidzi kuti vape marapiro emhando yepamusoro anopa varwere vedu simba rekuchengetedza mararamiro ane hutano uye kurarama hupenyu hunoshanda hune simba rakawanda, mafungiro akanaka, kurara zviri nani, uye kurwadziwa kushoma. .
Chiropractic Kuchengeta Kune Migraines
VIDEO
References
Peji P. (2011). Cervicogenic misoro: humbowo-inotungamirwa nzira yekiriniki manejimendi. International Journal of sports Physical Therapy, 6(3), 254–266.
Headache Classification Committee yeInternational Headache Society (IHS) (2013). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia: bhuku repasi rose remusoro, 33 (9), 629-808. doi.org/10.1177/0333102413485658
Rana MV (2013). Kutarisira uye kubata musoro wecervicogenic mavambo. Makiriniki ekurapa eNorth America, 97 (2), 267-280. doi.org/10.1016/j.mcna.2012.11.003
Park, SK, Yang, DJ, Kim, JH, Kang, DH, Park, SH, & Yoon, JH (2017). Migumisiro yekutambanudza kwekervical uye cranio-cervical flexion exercises pahutano hwemutsipa wemutsipa uye kumira kwevarwere vane cervicogenic headache. Nyaya yePhysical Therapy Sayenzi, 29 (10), 1836-1840. doi.org/10.1589/jpts.29.1836
Paquin, JP, Tousignant-Laflamme, Y., & Dumas, JP (2021). Migumisiro yeSNAG yekuunganidza yakasanganiswa ne-self-SNAG kumba-kurovedza muviri kwekurapa cervicogenic headache: chidzidzo chemutyairi. The Journal of manual & manipulative therapy, 29 (4), 244–254. doi.org/10.1080/10669817.2020.1864960
by Dr Alex Jimenez Foot Orthotics , Pasi Pasi Pain
Shangu dzinogona kukonzera kurwadziwa kumashure uye matambudziko kune vamwe vanhu. Kunzwisisa kuwirirana pakati peshangu uye matambudziko ekumusana kunogona kubatsira vanhu kuwana shangu dzakakodzera kuchengetedza hutano hwemusana uye kubvisa marwadzo?
Footwear Back Pain
Musana unopa simba rekuita zvemuviri. Kurwadziwa shure kunokanganisa hupenyu hwezuva nezuva uye kunogona kuva nezvikonzero zvakasiyana-siyana. Mamiriro asina kunaka, kufamba, kumonyoroka, kutendeuka, kukotama, uye kusvika zvinogona kukonzera matambudziko ekumusana anokonzera kurwadziwa. Maererano neCDC, 39% yevanhu vakuru vanotaura kurarama nemarwadzo ekudzokera shure (Centers yeChirwere Kudzivirira uye Kudzivirira, 2019 ). Zvipfeko zvisina kukodzera zvinogonawo kukonzera kurwadziwa shure. Kunyatsosarudza shangu kunogona kubatsira kuunza marwadzo uye kubatsira kuchengetedza hutano hwemusana. Vanhu vanogona kunakidzwa nekurwadziwa kushoma uye kugadzirisa zviratidzo nekusarudza shangu dzinochengetedza musana uye kudzivirira tsoka kubva pakukanganisa.
Kunzwisisa Back Pain-Footwear Connection
Zvipfeko zvisina kukodzera zvinogona kuva chikonzero chekurwadziwa kwepazasi. Chii chinokanganisa mapfupa ari pasi peiyo neuromusculoskeletal system inopenya kumusoro uye inokanganisa musana uye musana nemhasuru. Ndezvipi shangu dzinoshandiswa dzinofamba dzichikwira, dzichikanganisa kufamba, kumira, kurongeka kwemusana, nezvimwe. Kana matambudziko ekumusana anobva kutsoka, idzi inyaya dzebiomechanical. Biomechanics inoreva mashandiro anoita mapfupa, majoini, uye tsandanyama kushanda pamwe chete uye kuti shanduko mumasimba ekunze anokanganisa sei muviri.
mufambo
Kana tsoka dzichirova pasi, ndiwo magumo ekutanga kutora kuvhunduka kwemuviri wese. Vanhu vachatanga kufamba zvakasiyana kana vane dambudziko kana kuchinja mutsoka dzavo. Kupfeka shangu nerutsigiro rusina kufanira kunogona kuwedzera kupfeka uye kubvarura pamamhasuru nemajoini, zvichiita kuti zvisafambe zvakanaka uye zvisingaite. Semuenzaniso, funga musiyano uripo pakati pekumira pane zvitsitsinho mune zvitsitsinho zvakakwirira uye yepanyama flat-footed state. Shangu dzakasungirirwa zvakanaka dzinobatsira kutora maitiro uye kuderedza marwadzo ekunzwa. Izvo zvinodzvinyirira pane imwe neimwe yezvibatanidza zvinoshandura kuenzana, izvo zvinokonzera kusagadzikana matambudziko nekuderera kuderera kune vamwe uye kune vamwe. Izvi zvinogadzira kusaenzana kunotungamirira kumarwadzo uye majoini mamiriro.
Musoro
Kuchengeta chimiro chine hutano chimwe chinhu mukudzivirira kana kuderedza marwadzo ekudzokera shure. Neshangu dzakakodzera, muviri unogona kuchengetedza hutano hwakanaka uye curvature chaiyo mumusana wese, uye inobatsira kugovera huremu zvakaenzana. Izvi zvinoguma nekuderera kwekunetseka pamarunda, tsandanyama, uye majoini. (Harvard Health Publishing. 2014 ) Zvinokurudzirwa kuona chiremba wemapfupa kuti usvike pamudzi wemamiriro emunhu. Kune vamwe, herniated disc, sciatica, kudhumhana kwemotokari, kudonha, ergonomics isina kunaka, kana kusanganiswa, pamwe chete nezvimwe zvinokonzeresa, zvinogona kunge zvichikonzera kurwadziwa kwavo kumashure.
Shangu dzakasiyana-siyana dzinokanganisa sei kumira, zvinogona kukonzera kana kubvisa kurwadziwa shure.
Gogo
Zvitsitsinho zvepamusoro zvinogona kunyatsoita kuti pave nemarwadzo ekudzokera shure. Vanoshandura chimiro chemuviri, zvichiita kuti domino iite pamusana. Kurema kwemuviri kunoshandurwa kuti kuwedzere kudzvinyirira pamabhora etsoka, uye kurongeka kwemusana kunoshandurwa. Zvitsitsinho zvepamusoro zvinokanganisawo kuti zvitsitsinho, mabvi, uye chiuno zvinofamba sei kana uchifamba, kuenzanisa, uye kuti misumbu yemusana inoshanda sei, iyo yose inogona kuwedzera marwadzo ekudzokera shure.
Flat Shoes
Flat shangu inogona kunge isiri iyo yakanakisa sarudzo yehutano hwemusana. Kana vakashaya arch rutsigiro, vanogona kukonzera tsoka kukungurukira mukati, inozivikanwa se pronation. Izvi zvinogona kukonzera kukanganisa, izvo zvinogona kukanganisa mabvi, mahudyu, uye kuderera shure. Nekudaro, ivo vanogona kuve sarudzo yakanaka kana vakapa arch rutsigiro. Paunenge uchipfeka shangu dzakadzika nerutsigiro rwehutano, uremu hunogoverwa zvakaenzana pamakumbo uye musana. Izvi zvinobatsira kuchengetedza kumira kwakanaka, izvo zvinogona kubatsira kudzivirira uye / kana kuderedza marwadzo ekudzokera shure.
Sneakers, Tennis, uye Athletic Shoes
Sneakers, tenisi, uye shangu dzemitambo inogona kuderedza marwadzo ekudzokera shure nekunyatso simudza uye kutsigirwa. Kusarudza zvakarurama kunosanganisira kuona basa richaitwa mazviri. Kune tenisi, kumhanya, basketball, pickleball, shangu dzeskating nezvimwe. Tsvakurudza kuti ndezvipi zvinodikanwa pamutambo kana chiitiko. Izvi zvinogona kusanganisira:
Zvitsitsinho makapu
Insole cushioning
Wide base
Zvimwe zvinhu zvinosangana netsoka dzega dzega.
Zvinokurudzirwa kuti shangu dzemitambo dzishandurwe makiromita ose e300 kusvika ku500 ekufamba kana kumhanya kana nezviratidzo zvekusaenzana pazvinenge zvakaiswa panzvimbo yakadzikama, sezvo mazamu akasakara uye zvinhu zvakasvibiswa zvinogona kuwedzera njodzi yekukuvara uye kurwadziwa shure. (American Academy yePodiatric Sports Medicine, 2024 ). Kana vamwe vaviri vakaisa makumbo, zviuno, kana kuti zviziso zvemakumbo munzvimbo isiri yomuzvarirwo kana kuti vachidzivisa kufamba kwenguva dzose, ingava nguva yokuvatsiva.
Kusarudza Shangu Dzakanaka
Mhinduro yakakodzera yekusarudza kupfeka shangu ndeyokuwana gait kuongororwa uye kuongororwa kwekufamba uye kumhanya. Vashandi vehutano vakasiyana-siyana vanogona kupa sevhisi iyi kuti igadzirise kutsvaga kwemunhu wega shangu dzakakodzera dzemarwadzo ekumusana. Mukuongorora gait, vanhu vanokumbirwa kumhanya uye kufamba, dzimwe nguva pakhamera, nepo nyanzvi inocherekedza maitiro emuviri, senge tsoka painorova pasi uye kana ichikunguruka mukati kana kunze. Izvi zvinopa data pamusoro pezvakakanganiswa posture, kufamba, marwadzo mazinga, yakawanda sei arch arch inodiwa, uye rudzii rwekupfeka kubatsira kudzivirira kurwadziwa shure. Kana iyo ongororo yapera, ichakutungamira pane yekutarisa, senge ndeipi nhanho yekutsigira arch, kureba chitsitsinho, kana zvinhu zvakakunakira iwe.
Injury Medical Chiropractic uye Functional Medicine Clinic inonyanya kufambira mberi, yekucheka-kumucheto marapirwo uye maitiro ekugadzirisa maitiro akatarisana nekiriniki physiology, hutano hwakakwana, inoshanda kudzidziswa kwesimba, uye kugadzirisa kwakakwana. Isu tinotarisa pakudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwematishu akapfava. Isu tinoshandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility uye mobility Fitness Training, uye Rehabilitation Systems kune mazera ose. Zvirongwa zvedu ndezvemuzvarirwo uye zvinoshandisa kugona kwemuviri kuzadzisa zvinangwa zvakayerwa pane kuunza makemikari anokuvadza, zvinonetsa kutsiva mahormone, maoparesheni asingadiwe, kana zvinodhaka zvinopinda muropa. Takabatana nevakuru veguta vanachiremba, varapi, uye varairidzi kuti vape marapiro emhando yepamusoro anopa varwere vedu simba rekuchengetedza mararamiro ane hutano uye kurarama hupenyu hunoshanda hune simba rakawanda, mafungiro akanaka, kurara zviri nani, uye kurwadziwa kushoma. .
Zvakanakira Kushandisa Custom Foot Orthotics
VIDEO
References
Centers for Disease Control and Prevention. (2019). Kumashure, nhengo dzezasi, uye kurwadziwa kwepamusoro pakati pevakuru veUS, 2019. Yakadzorerwa kubva www.cdc.gov/nchs/products/databriefs/db415.htm
Harvard Health Publishing. (2014). Mamiriro uye musana utano. Harvard Health Dzidzo. www.health.harvard.edu/pain/posture-and-back-health
American Academy yePodiatric Sports Medicine. Ayne Furman, DF, AAPSM. (2024). Ndinoziva sei kana yave nguva yekutsiva shangu dzangu dzemitambo?
by Dr Alex Jimenez Chiropractic Examination , Pamuviri Utano
Kune vanhu vari kutarisana nemarwadzo ekudzokera shure uye matambudziko, kuziva nzira yekuvandudza nekuchengetedza intervertebral disc hutano hunobatsira kuderedza zviratidzo here?
Intervertebral Disc Utano
Mutsipa wemusana une 24 mapfupa anofambiswa uye 33 mapfupa anonzi vertebrae. Iwo vertebral mapfupa akaturikidzana pamusoro peumwe neumwe. Iyo intervertebral disc ndiyo inomisa zvinhu pakati pemapfupa ari pedyo. (Dartmouth. 2008 )
mapfupa
Mabhonzo emusana madiki uye akatenderera munzvimbo inonzi vertebral body. Kumashure kune mhete yebhoni kubva kune iyo protrusions inowedzera uye arches uye nzira dzinoumbwa. Chimiro chega chega chine chinangwa chimwe kana kupfuura uye chinosanganisira: (Waxenbaum JA, Reddy V, Williams C, et al., 2023 )
Kudzikamisa musana.
Kupa nzvimbo yekubatanidza tishu uye kumashure mamhasuru kuti abatanidze.
Kupa mugero wokuti musana womuzongoza upfuure nokwakachena.
Kupa nzvimbo iyo tsinga dzinobuda uye dzinobuda kunze kunzvimbo dzese dzemuviri.
mamiriro
Iyo intervertebral disc ndiyo cushioning inogara pakati pe vertebrae. Dhizaini yemuzongoza inoibvumira kufamba munzira dzakasiyana siyana:
Flexion kana kukotama
Kuwedzera kana arching
Kurereka uye kutenderera kana kumonyorora.
Masimba ane simba anoshanda uye anofurira musana wekona kuti ubudise mafambiro aya. Iyo intervertebral disc inobata kuvhunduka panguva yekufamba uye inodzivirira vertebrae uye musana kubva mukukuvara uye / kana kukuvadzwa.
Kunze, matishu akasimba akarukwa efiber anoita nzvimbo inonzi annulus fibrosis. Iyo annulus fibrosis ine uye inodzivirira iyo yakapfava gel chinhu chiri pakati, iyo nucleus pulposus. (YS Nosikova et al., 2012 ) Iyo nucleus pulposis inopa kuvhunduka, kushanduka, uye kutendeseka, kunyanya pasi pekumanikidzwa panguva yekufamba kwepelinha.
hurongwa
Iyo nucleus pulposus chinhu chakapfava gel chiri pakati pe disc chinobvumira elasticity uye kuchinjika pasi pesimba rekushushikana kuti ritore kudzvanywa. (Nedresky D, Reddy V, Singh G. 2024 ) The swivel action inoshandura kurereka uye kutenderera kwe vertebra kumusoro nepasi, kuvharidzira mhedzisiro yekufamba kwemusana. Madhisiki anotenderera achipindura kune iyo musana inofamba. Iyo nucleus pulposus inogadzirwa zvakanyanya nemvura, iyo inofamba ichipinda nekubuda kuburikidza nediki pores, ichiita senge nzira pakati pe vertebra uye disc bone. Nzvimbo dzemuviri dzinotakura musana, sekugara uye kumira, kusundira mvura kunze kwe diski. Kurara pasi pamusana kana panzvimbo yepamusoro kunofambisa kudzorerwa kwemvura mu disc. Sezvo muviri uchikura, madhisiki anorasikirwa nemvura /kushaya mvura mumuviri , zvichiita kuti disc degeneration. Iyo intervertebral disc haina ropa rekupa, izvo zvinoreva kuti kuti diski igamuchire chikafu chinodiwa uye nekubvisa tsvina, inofanirwa kuvimba nekutenderera kwemvura kuti igare ine hutano.
Care
Dzimwe nzira dzekuchengetedza intervertebral disc hutano dzinosanganisira:
Kuteerera kune chimiro.
Kuchinja nzvimbo kazhinji zuva rose.
Kuita maekisesaizi uye kufamba-famba.
Kushandisa mechanics emuviri chaiwo kune zviitiko zvemuviri.
Kurara pametiresi inotsigira.
Kunwa mvura yakawanda.
Kudya zvine hutano.
Kuchengeta huremu hune hutano.
Kunwa doro zvine mwero.
Kurega kusvuta.
PaInjury Medical Chiropractic uye Functional Medicine Clinic, tinobata kukuvara uye kusingaperi kurwadziwa syndromes nekuvandudza kugona kwemunhu kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa mapoka ese ezera nekuremara. Chikwata chedu chechiropractic, zvirongwa zvekuchengeta, uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Acupuncture, Chronic Pain, Kukuvadza Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwemusana, Kurwadziwa Kwepashure, Marwadzo Emutsipa, Migraine Headaches, Kukuvara Kwemitambo, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia. , Kurwara Kusingaperi, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocols. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.
Kupfuura Panyika: Kunzwisisa Migumisiro Yekukuvara Kwemunhu
VIDEO
References
Dartmouth Ronan O'Rahilly, MD. (2008). Basic Human Anatomy. Chitsauko 39: The vertebral column. MuD. Rand Swenson, MD, PhD (Mupepeti.), BASIC HUMAN ANATOMY Chidzidzo cheDunhu cheChimiro Chevanhu. WB Saunders. humananatomy.host.dartmouth.edu/BHA/public_html/part_7/chapter_39.html
Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). Anatomy, Back, Lumbar Vertebrae. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618
Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). Hunhu hwe annulus fibrosus-vertebral body interface: kuzivikanwa kwezvinhu zvitsva zvemaitiro. Nyaya yeanatomy, 221 (6), 577-589. doi.org/10.1111/j.1469-7580.2012.01537.x
Nedresky D, Reddy V, Singh G. (2024). Anatomy, Kumashure, Nucleus Pulposus. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/30570994
Mhando dzeShangu uye Mabatiro Adzo Kumusana
Ability
